Grade 8 Changemaker Leadership Academy: New Student Application 2023-2024
We are now accepting applications for students entering in the 2023-2024 school year. This application form is designed to help the admissions team ensure the program is the right fit for your child and family. If your child is accepted, the information obtained in this application will be used for registration purposes.
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Email *
Please check all boxes below to indicate that you have read and understood the following application guidelines: *
Required
Student's Full Legal First and Last Name *
Alberta Student Number (if known)
Student's Preferred First Name/Shortened Name
Gender (please feel free to add any additional information relevant to gender):   *
REFERRAL PROGRAM. (If you were connected to us by a current Changemaker family, please let us know the first and last name of the person who referred you to us below):
Student Birth Date *
MM
/
DD
/
YYYY
Your student is currently enrolled in grade 7 at: *
What school is your child currently attending? (Please include name of school or homeschool board and the location):   *
STUDENT MEDICAL INFORMATION: please briefly describe any current medical or behavioural conditions or diagnoses, current prescription medications taken and/or significant allergies: *
Has your child ever had a psych-ed assessment completed or been placed on an IPP at school? IF so, please share details below (all documents must be submitted with your application to be considered complete):
Siblings (please check all that apply): *
Required
Please indicate the names of any siblings/family members who are applying at the same time OR who already attend the Calgary Changemaker School (or please leave blank if not applicable).
What is your child's first language/primary language spoken at home? Please feel free to include any additional languages or details: *
STUDENT CITIZENSHIP STATUS (For further information, please refer to www.education.alberta.ca/system-supports/results-reporting or contact Alberta Education at 780-427-8501). *
Aboriginal Self-Identification. If you wish to declare the student as Aboriginal, please select one. (For further information, please refer to www.education.alberta.ca/system-supports/results-reporting or contact Alberta Education at 780-427-8501).
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